Form Rc/ Pq200 Payroll Quarterly - Georgetown-Scott County Revenue Commission, Inc.
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1Payroll Quarterly
Form RC/ PQ200
FOR QUARTER ENDING: ___________
FEDERAL ID OR SS#: ______________________________________
INDIVIDUAL
NAME: ___________________________________________________
MONTHLY FILER RECONCILING
ADDRESS: ________________________________________________
QUARTERLY FILER
CITY / STATE / ZIP: _______________________________________
1 Enter total salaries, wages, commissions, and other compensation paid this quarter.
Column A
Column B
Column C
GEORGETOWN
SCOTT CO.
SCHOOLS
Amount included in line 1, which was paid for services
2
outside Georgetown-Scott County.
Total wages paid this quarter within each of columns A, B,
3
and C.
Less 10,000 deduction from gross wages for each employee
4
NO DEDUCTION
age 65 or older per year (columns A & B)
Taxable Balance (subtract line 3 - line 4, enter difference in
5
columns A and B. In column C enter amount from line 3)
(line 5 X 1%)
(line 5 X 1%)
(line 5 X .5%)
6 Tax Due (multiply line 5 by column A-1%, B-1%, C-.5%)
PENALTIES & INTEREST
Penalty (5% per month, not to exceed 25% of the total tax
7
due in each of columns A, B and C, and not less than $25)
Late Filing (return with no check attached) (5% per month,
8
not to exceed 25% of the total tax due in each of columns
A, B and C)
Interest (1% per month or 12% per year of any tax not paid
9
in each of columns A, B and C)
ADJUSTMENTS
10 Payments made in quarter (to each of columns A, B and C)
TOTAL TAX DUE EACH (add lines 6, 7, 8 and 9.
11
Subtract line 10 and enter total due in each of columns A,
B and C)
COMBINED TOTAL PAID (add lines 11A + 11B + 11C and enter here)
By signing below, I certify the information contained herein is true and correct.
Your Printed Name __________________________ Signature _______________________________ Date ______________
Tax Preparer Name __________________________ Address ________________________________ Phone ______________
Contact Person _____________________________ Address ________________________________ Phone ______________
Official Use Only:
RETURN DUE ON
Date Paid:
OR BEFORE
Mail Return with Payment Due To:
Georgetown-Scott County Revenue Commission, Inc.
Amt.:
April 30
PO Box 800
July 31
Check No.:
Georgetown, KY 40324
October 31
Phone: (502) 863-9805 / Fax: (502) 863-9808
By:
January 31
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Parent category: Financial